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EAGLE HEALTH & REHABILITATION
NPI 1669509865
Respite Care in Statesboro, GA

Active since February 27, 2007CLIA 11D0261152 · Waiver
405 S COLLEGE ST, STATESBORO, GA 30458(912) 764-4575(912) 764-3916 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagle Health & Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE HEALTH & REHABILITATION (NPI 1669509865) is a healthcare organization registered as a respite care in Statesboro, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kim Sheffield, Vp Of Financial Reporting, as its authorized official.

NPPES Registry Identity

NPI1669509865
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameBULLOCH COUNTY LTC, LLC
Location Address405 S COLLEGE STStatesboro, GA 30458-5409
Mailing AddressPo Box 746Statesboro, GA 30459-0746 · (912) 764-4575 · Fax (912) 764-3916
Phone(912) 764-4575
Fax(912) 764-3916
Organization SubpartNo
Authorized OfficialKim SheffieldVp Of Financial Reporting · (478) 621-2100
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669509865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License✔ Licensed in GA · 1-016-1802
405 S COLLEGE ST, Statesboro, GA 30458
Open in Google Maps ↗

Other Names 1

Doing Business AsEagle Health & Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0261152

Eagles Health And Rehabilitation · Statesboro, GA
Active · expires Aug 31, 2026
CLIA Number11D0261152
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMaulikkumar A. Patel
Laboratory Phone(912) 764-4575
Laboratory LocationEagles Health And Rehabilitation405 South College Street, Statesboro, GA 30459
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS P C
Internal Medicine (Pulmonary Disease)
405 S COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 927-6270
BULLOCH COUNTY LTC, LLC
Clinic/Center (Adult Day Care)
405 S COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 764-4575
JOSE ALFREDO RIVERA SEPULVEDA MD
Internal Medicine
405 S COLLEGE ST
STATESBORO, GA 30458
Bulloch County (478) 621-2072
BULLOCH COUNTY LTC LLC
Skilled Nursing Facility
405 S COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 764-4575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bulloch County Ltc, LLC's NPI number?

The NPI number for Bulloch County Ltc, LLC is 1669509865. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Eagle Health & Rehabilitation.

Where is Bulloch County Ltc, LLC located?

Bulloch County Ltc, LLC is located at 405 S College St, Statesboro, GA 30458. The listed phone number is (912) 764-4575.

What is Bulloch County Ltc, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Does Bulloch County Ltc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0261152) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bulloch County Ltc, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.